CASE 29: CT.MRI SPINE

Lower backache. 75M

DIAGNOSIS

Findings are suggestive of Bilateral Pelvic Insufficiency fractures of the sacral ala

RADPEARLS

nsufficiency fractures are a subtype of stress fracture that results from normal stress applied to abnormal bone that has lost its elastic resistance

bone scintigraphy and MR imaging are the most sensitive

T2 short ? inversion recovery sequences are exquisitely sensitive for the detection of early marrow edema related to SIF

commonly affect elderly women with osteoporosis

Further Reading